{"id":1365,"date":"2024-10-31T18:08:37","date_gmt":"2024-10-31T18:08:37","guid":{"rendered":"https:\/\/capahc.com\/?p=1365"},"modified":"2025-03-21T19:40:37","modified_gmt":"2025-03-21T19:40:37","slug":"depistage-et-diagnostic","status":"publish","type":"post","link":"https:\/\/capahc.com\/en\/depistage-et-diagnostic\/","title":{"rendered":"Testing and diagnosis"},"content":{"rendered":"<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-c3a2a92\" data-block-id=\"c3a2a92\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-c3a2a92-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-4d5706a\" data-v=\"4\" data-block-id=\"4d5706a\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-4d5706a-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-4d5706a-inner-blocks\">\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-2a9f97f\" data-block-id=\"2a9f97f\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-2a9f97f-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-eff995e\" data-v=\"4\" data-block-id=\"eff995e\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-eff995e-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-eff995e-inner-blocks\">\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-76369e2\" data-block-id=\"76369e2\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-76369e2-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-db7e9c2\" data-v=\"4\" data-block-id=\"db7e9c2\"><style>@media screen and (max-width: 767px){.stk-db7e9c2-container{margin-top:5px !important;margin-right:5px !important;margin-bottom:5px !important;margin-left:5px !important;min-height:0px !important;}.stk-db7e9c2 {align-self:center !important;}.stk-db7e9c2-inner-blocks{align-items:center !important;justify-content:center !important;row-gap:0px !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-db7e9c2-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-db7e9c2-inner-blocks\">\n<div class=\"wp-block-stackable-icon-box stk-block-icon-box stk-block stk-bcd9ea7\" data-v=\"2\" data-block-id=\"bcd9ea7\"><div class=\"stk-block-content stk-inner-blocks stk-block-icon-box__content stk-container stk-bcd9ea7-container stk--no-background stk--no-padding\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-8b8d8f5\" data-block-id=\"8b8d8f5\"><style>.stk-8b8d8f5 {margin-bottom:0px !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-icon stk-block-icon has-text-align-left stk-block stk-ae6b0fe\" data-block-id=\"ae6b0fe\"><a class=\"stk-link\" href=\"https:\/\/capahc.com\/en\/communautes-cles\/\"><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-ae6b0fe\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-ae-6-b-0-fe-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-ae-6-b-0-fe-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\" aria-hidden=\"true\" width=\"32\" height=\"32\"><path d=\"M512 256A256 256 0 1 0 0 256a256 256 0 1 0 512 0zM217.4 376.9L117.5 269.8c-3.5-3.8-5.5-8.7-5.5-13.8s2-10.1 5.5-13.8l99.9-107.1c4.2-4.5 10.1-7.1 16.3-7.1c12.3 0 22.3 10 22.3 22.3l0 57.7 96 0c17.7 0 32 14.3 32 32l0 32c0 17.7-14.3 32-32 32l-96 0 0 57.7c0 12.3-10 22.3-22.3 22.3c-6.2 0-12.1-2.6-16.3-7.1z\"><\/path><\/svg><\/div><\/span><\/a><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-83401aa\" id=\"a-href-https-test-capahc-com-communautes-cles-precedent-a\" data-block-id=\"83401aa\"><style>.stk-83401aa .stk-block-heading__text{font-size:25px !important;}@media screen and (max-width: 1023px){.stk-83401aa .stk-block-heading__text{font-size:25px !important;}}<\/style><h2 class=\"stk-block-heading__text\"><a href=\"https:\/\/capahc.com\/en\/communautes-cles\/\">Previous<\/a><\/h2><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-8b673c8\" data-v=\"4\" data-block-id=\"8b673c8\"><style>.stk-8b673c8-container{max-width:99% !important;min-width:auto !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-8b673c8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-8b673c8-inner-blocks\">\n<div class=\"wp-block-stackable-icon stk-block-icon has-text-align-center stk-block stk-cfcb735\" data-block-id=\"cfcb735\"><style>.stk-cfcb735 .stk--svg-wrapper .stk--inner-svg svg:last-child, .stk-cfcb735 .stk--svg-wrapper .stk--inner-svg svg:last-child :is(g, path, rect, polygon, ellipse){fill:var(--theme-palette-color-1, #ff6310) !important;}<\/style><a class=\"stk-link\" href=\"https:\/\/capahc.com\/en\/guide-vhc-2\/\"><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-cfcb735\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-cfcb-735-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-cfcb-735-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 576 512\" aria-hidden=\"true\" width=\"32\" height=\"32\"><path d=\"M575.8 255.5c0 18-15 32.1-32 32.1h-32l.7 160.2c0 2.7-.2 5.4-.5 8.1V472c0 22.1-17.9 40-40 40H456c-1.1 0-2.2 0-3.3-.1c-1.4 .1-2.8 .1-4.2 .1H416 392c-22.1 0-40-17.9-40-40V448 384c0-17.7-14.3-32-32-32H256c-17.7 0-32 14.3-32 32v64 24c0 22.1-17.9 40-40 40H160 128.1c-1.5 0-3-.1-4.5-.2c-1.2 .1-2.4 .2-3.6 .2H104c-22.1 0-40-17.9-40-40V360c0-.9 0-1.9 .1-2.8V287.6H32c-18 0-32-14-32-32.1c0-9 3-17 10-24L266.4 8c7-7 15-8 22-8s15 2 21 7L564.8 231.5c8 7 12 15 11 24z\"><\/path><\/svg><\/div><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-39a667a\" data-v=\"4\" data-block-id=\"39a667a\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-39a667a-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-39a667a-inner-blocks\">\n<div class=\"wp-block-stackable-icon-box stk-block-icon-box stk-block stk-3c78f8c\" data-v=\"2\" data-block-id=\"3c78f8c\"><div class=\"stk-block-content stk-inner-blocks stk-block-icon-box__content stk-container stk-3c78f8c-container stk--no-background stk--no-padding\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-94798a8\" data-block-id=\"94798a8\"><style>.stk-94798a8 {margin-bottom:0px !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-53aba1b\" id=\"a-href-https-test-capahc-com-evaluation-de-letat-du-foie-suivant-a\" data-block-id=\"53aba1b\"><style>.stk-53aba1b .stk-block-heading__text{font-size:25px !important;}@media screen and (max-width: 1023px){.stk-53aba1b .stk-block-heading__text{font-size:25px !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-align-right\"><a href=\"https:\/\/capahc.com\/en\/evaluation-de-letat-du-foie\/\">Next<\/a><\/h2><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon has-text-align-left stk-block stk-cabd6f7\" data-block-id=\"cabd6f7\"><a class=\"stk-link\" href=\"https:\/\/capahc.com\/en\/evaluation-de-letat-du-foie\/\"><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-cabd6f7\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-cabd-6-f-7-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-cabd-6-f-7-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\" aria-hidden=\"true\" width=\"32\" height=\"32\"><path d=\"M0 256a256 256 0 1 0 512 0A256 256 0 1 0 0 256zM294.6 135.1l99.9 107.1c3.5 3.8 5.5 8.7 5.5 13.8s-2 10.1-5.5 13.8L294.6 376.9c-4.2 4.5-10.1 7.1-16.3 7.1C266 384 256 374 256 361.7l0-57.7-96 0c-17.7 0-32-14.3-32-32l0-32c0-17.7 14.3-32 32-32l96 0 0-57.7c0-12.3 10-22.3 22.3-22.3c6.2 0 12.1 2.6 16.3 7.1z\"><\/path><\/svg><\/div><\/span><\/a><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left\" id=\"h-depistage-et-diagnostic\">Testing and diagnosis<\/h2>\n\n\n\n<div class=\"wp-block-stackable-columns alignfull stk-block-columns stk-block stk-9dd4459\" data-block-id=\"9dd4459\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-9dd4459-column alignfull\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7d419f1 stk-block-background stk--has-background-overlay\" data-v=\"4\" data-block-id=\"7d419f1\"><style>.stk-7d419f1 {align-self:center !important;background-color:linear-gradient(90deg,rgb(250,164,112) 0%,rgb(254,225,64) 100%) !important;border-top-left-radius:45px !important;border-top-right-radius:45px !important;border-bottom-right-radius:45px !important;border-bottom-left-radius:45px !important;overflow:hidden !important;box-shadow:0px 70px 90px -20px #4849794d !important;padding-top:20px !important;padding-right:20px !important;padding-bottom:20px !important;padding-left:20px !important;margin-left:10px !important;}.stk-7d419f1-inner-blocks{row-gap:0px !important;}.stk-7d419f1:before{background-image:linear-gradient(90deg,rgb(250,164,112) 0%,rgb(254,225,64) 100%) !important;}.stk-7d419f1:hover{box-shadow:0px 70px 90px -20px #4849794d !important;}.stk-7d419f1-container{max-width:99% !important;min-width:auto !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-right:auto !important;margin-left:auto !important;}@media screen and (min-width: 768px){.stk-7d419f1 {flex:var(--stk-flex-grow, 1) 1 calc(25% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}@media screen and (max-width: 767px){.stk-7d419f1 {border-top-left-radius:29px !important;border-top-right-radius:29px !important;border-bottom-right-radius:29px !important;border-bottom-left-radius:29px !important;overflow:hidden !important;min-height:150px !important;align-items:center !important;max-width:99% !important;min-width:auto !important;padding-top:40px !important;padding-right:40px !important;padding-bottom:40px !important;padding-left:40px !important;margin-right:25px !important;margin-left:50px !important;display:flex !important;flex:var(--stk-flex-grow, 1) 1 calc(75% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}.stk-7d419f1:hover{padding-top:35px !important;padding-right:35px !important;padding-bottom:35px !important;padding-left:35px !important;}.stk-7d419f1-container{max-width:99% !important;min-width:auto !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-right:auto !important;margin-left:auto !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7d419f1-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-7d419f1-inner-blocks\">\n<div class=\"wp-block-stackable-image stk-block-image stk-block stk-e3df332\" data-block-id=\"e3df332\"><style>.stk-e3df332 {padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-e3df332 .stk-img-wrapper{width:99% !important;height:99% !important;filter:drop-shadow(0px 5px 10px #9999995a) !important;--stk-gradient-overlay:0 !important;}.stk-e3df332 .stk-img-wrapper:hover{filter:drop-shadow(0px 5px 10px #9999995a) !important;}.stk-e3df332 .stk-img-wrapper img{transform:scale(0.9) !important;border-radius:0px !important;object-fit:contain !important;}.stk-e3df332 .stk-img-wrapper:hover img{transform:scale(0.9) !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-e3df332 .stk-img-wrapper img{transform:scale(1.1) !important;}.stk-e3df332 .stk-img-wrapper::after{background-color:#00000000 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-e3df332 .stk-img-wrapper::after{background-color:#000000 !important;}.stk-e3df332 .stk-img-wrapper::before{--stk-gradient-overlay:0 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-e3df332 .stk-img-wrapper{--stk-gradient-overlay:0.7 !important;}.stk-e3df332 .stk-img-wrapper::after, .stk-e3df332 .stk-img-wrapper::before{mix-blend-mode:overlay !important;}@media screen and (max-width: 767px){.stk-e3df332 {min-height:0px !important;max-width:100% !important;min-width:auto !important;margin-top:-30px !important;margin-right:-10px !important;margin-bottom:-30px !important;margin-left:-10px !important;}.stk-e3df332 .stk-img-wrapper{width:100% !important;height:100% !important;}.stk-e3df332 .stk-img-wrapper img{object-position:50% 50% !important;object-fit:contain !important;}.stk-e3df332 .stk-img-wrapper:hover img{object-position:50% 50% !important;}}<\/style><figure><span class=\"stk-img-wrapper stk-image--shape-stretch stk--shadow-0px 5px 10px #9999995a\"><img loading=\"lazy\" decoding=\"async\" class=\"stk-img wp-image-1204\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2021\/04\/Icone-Guide-VHC-8-1.webp\" width=\"300\" height=\"194\" alt=\"D\u00e9pistage et diagnostic\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2021\/04\/Icone-Guide-VHC-8-1.webp 300w, https:\/\/capahc.com\/wp-content\/uploads\/2021\/04\/Icone-Guide-VHC-8-1-18x12.webp 18w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/span><\/figure><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-ddb1ee8\" data-v=\"4\" data-block-id=\"ddb1ee8\"><style>.stk-ddb1ee8 {padding-top:80px !important;padding-right:48px !important;padding-bottom:80px !important;padding-left:48px !important;}@media screen and (min-width: 768px){.stk-ddb1ee8 {flex:var(--stk-flex-grow, 1) 1 calc(75% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}@media screen and (max-width: 767px){.stk-ddb1ee8 {margin-top:-33px !important;flex:var(--stk-flex-grow, 1) 1 calc(100% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-ddb1ee8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-ddb1ee8-inner-blocks\">\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk--single-open stk-block stk-4956c3e\" data-block-id=\"4956c3e\"><style>.stk-4956c3e {border-style:solid !important;border-color:#dfdad1 !important;border-top-width:0px !important;border-right-width:0px !important;border-bottom-width:1px !important;border-left-width:0px !important;padding-bottom:24px !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-aa63fc8 stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"aa63fc8\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-aa63fc8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-aa63fc8-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-6a8f2f8\" data-block-id=\"6a8f2f8\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-768946b\" id=\"recommandations-de-depistage-aux-br-etats-unis\" data-block-id=\"768946b\"><h5 class=\"stk-block-heading__text\">Screening recommendations in the <br>U.S.<\/h5><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-33ef274\" data-block-id=\"33ef274\"><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-33ef274\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-33-ef-274-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-33-ef-274-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"plus\" class=\"svg-inline--fa fa-plus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-33ef274\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-33-ef-274-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-33-ef-274-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"minus\" class=\"svg-inline--fa fa-minus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-4cec051 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"4cec051\"><style>.stk-4cec051-container{padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-4cec051-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-4cec051-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" data-block-type=\"core\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" data-block-type=\"core\">\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">In the United States, HCV screening recommendations were based on risk factors up until 2012. As of 2012, a recommendation was introduced signaling that all patients born between 1945 and 1975 should be screened once in their life, independent of risk factors.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">In 2020, the Center for Disease Control (CDC) updated its HCV screening recommendations in order to include all people at least once per lifetime and also all pregnant people once per pregnancy.<sup><a href=\"https:\/\/capahc.com\/en\/depistage-et-diagnostic\/#d88bba66-1a23-49ef-9796-d45dbef11ff7\">1<\/a><\/sup>&nbsp;These decisions followed recent U.S. data including an increase in the number of new hepatitis C cases, particularly among young people.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk--single-open stk-block stk-b285749\" data-block-id=\"b285749\"><style>.stk-b285749 {border-style:solid !important;border-color:#dfdad1 !important;border-top-width:0px !important;border-right-width:0px !important;border-bottom-width:1px !important;border-left-width:0px !important;padding-bottom:24px !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-a824b8a stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"a824b8a\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-a824b8a-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-a824b8a-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-dc4ccb5\" data-block-id=\"dc4ccb5\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-b159a9d\" id=\"recommandations-de-depistage-au-canada\" data-block-id=\"b159a9d\"><h5 class=\"stk-block-heading__text\">Recommandations de d\u00e9pistage au Canada<\/h5><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-2ba00d9\" data-block-id=\"2ba00d9\"><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-2ba00d9\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-ba-00-d-9-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-ba-00-d-9-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"plus\" class=\"svg-inline--fa fa-plus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-2ba00d9\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-ba-00-d-9-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-ba-00-d-9-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"minus\" class=\"svg-inline--fa fa-minus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-e776ca8 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"e776ca8\"><style>.stk-e776ca8-container{padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-e776ca8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-e776ca8-inner-blocks\">\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">In Canada, the recommendations of the Canadian Task Force on Preventive Health Care are based solely on risk factors. They do not include screening for people born between 1945 and 1975, contrary to the requests of the Canadian Association for Study of the Liver (CASL) and the <a href=\"https:\/\/www.canhepc.ca\/fr\" target=\"_blank\" rel=\"noreferrer noopener\">Canadian Hepatitis C Network (CanHepC)<\/a>&nbsp;who plead for.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">In 2021, British Columbia put out provincial recommendations to test all people born between 1945 and 1975 once in their life.<\/span><\/p>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk--single-open stk-block stk-b391eeb\" id=\"recommandations-de-depistage-au-quebec\" data-block-id=\"b391eeb\"><style>.stk-b391eeb {border-style:solid !important;border-color:#dfdad1 !important;border-top-width:0px !important;border-right-width:0px !important;border-bottom-width:1px !important;border-left-width:0px !important;padding-bottom:24px !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-307b09d stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"307b09d\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-307b09d-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-307b09d-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-7bd4b47\" data-block-id=\"7bd4b47\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-a6eba7a\" id=\"recommandations-de-depistage-au-quebec\" data-block-id=\"a6eba7a\"><h5 class=\"stk-block-heading__text\">Screening recommendations in Quebec<\/h5><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-f71e82c\" data-block-id=\"f71e82c\"><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-f71e82c\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-f-71-e-82-c-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-f-71-e-82-c-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"plus\" class=\"svg-inline--fa fa-plus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-f71e82c\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-f-71-e-82-c-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-f-71-e-82-c-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"minus\" class=\"svg-inline--fa fa-minus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-f7f5c99 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"f7f5c99\"><style>.stk-f7f5c99-container{padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-f7f5c99-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-f7f5c99-inner-blocks\">\n<p data-block-type=\"core\">In Quebec, hepatitis C screening is only recommended for people with risk factors for HCV:<\/p>\n\n\n\n<ul class=\"wp-block-list\" data-block-type=\"core\">\n<li data-block-type=\"core\">Having consumed drugs by injection, even if only once;<\/li>\n\n\n\n<li data-block-type=\"core\">Originating from a country or region where HCV is endemic (Pakistan, Egypt, Syria, Romania, Taiwan, Eastern Europe, Central Asia, Central sub Saharan Africa). Note that HCV screening is not required by Immigration Canada;<\/li>\n\n\n\n<li data-block-type=\"core\">Being a GBMSM living with HIV or who plans on going on PrEP;<\/li>\n\n\n\n<li data-block-type=\"core\">Being a person living with HIV and having contracted lymphogranuloma venereum (LGV) or having possibly contracted the hepatitis B virus through contact with blood;<\/li>\n\n\n\n<li data-block-type=\"core\">Having been exposed to blood or other potentially infected biological fluids (tattooing or piercing in non-sterile environments, or by exposure within a work context or a non-professional context);<\/li>\n\n\n\n<li data-block-type=\"core\">Having undergone a procedure (surgical or otherwise) with potentially contaminated material or instruments in a region of the world where the HCV prevalence is high (&gt; 2 %);<\/li>\n\n\n\n<li data-block-type=\"core\">Having received a transfusion of blood or blood products, or a transplant of cell or organ tissue (in Canada, prior to April 1992);<\/li>\n\n\n\n<li data-block-type=\"core\">Being a pregnant person who is associated with HCV risk factors prior to or during the pregnancy;<\/li>\n\n\n\n<li data-block-type=\"core\">Having had experience of incarceration;<\/li>\n\n\n\n<li data-block-type=\"core\">Receiving services in a center for drug addiction;<\/li>\n\n\n\n<li data-block-type=\"core\">Undergoing hemodialysis;<\/li>\n\n\n\n<li data-block-type=\"core\">Infants and children born to a parent who is a carrier of HCV (RNA or HCV positive). Only concerning pregnant people.<\/li>\n<\/ul>\n\n\n\n<p data-block-type=\"core\">In addition to this list, government recommendations add the following clinical conditions:<\/p>\n\n\n\n<ul class=\"wp-block-list\" data-block-type=\"core\">\n<li data-block-type=\"core\">Presenting an unexplained increase of the aspartate aminotransferase (AST) or alanine transaminase (ALT) enzymes or both transaminases;<\/li>\n\n\n\n<li data-block-type=\"core\">Having a hepatic disease that may be detected by clinical, biological and\/or radiological indicators;<\/li>\n\n\n\n<li data-block-type=\"core\">Presenting extra-hepatic manifestation (EHM) resembling HCV.<\/li>\n<\/ul>\n\n\n\n<p data-block-type=\"core\">In theory, all people who request screening, even in the absence of risk factors, should have access to it, but the application of this recommendation is not uniformly distributed. We also know that declaring risk factors is suboptimal because there are numerous obstacles to uncovering them, notably discrimination and the stigma associated with such risk factors. The practice of screening pregnant people is not yet recommended in Quebec, though we are currently awaiting the next set of recommendations from the Society of Obstetricians and Gynaecologists of Canada (SOGC). For the time being, the practice is becoming more and more commonplace.<\/p>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk--single-open stk-block stk-ba53947\" id=\"aigue-ou-chronique\" data-block-id=\"ba53947\"><style>.stk-ba53947 {border-style:solid !important;border-color:#dfdad1 !important;border-top-width:0px !important;border-right-width:0px !important;border-bottom-width:1px !important;border-left-width:0px !important;padding-bottom:24px !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-b9676e8 stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"b9676e8\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-b9676e8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-b9676e8-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-24079bc\" data-block-id=\"24079bc\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-1c77c4c\" id=\"guide-quebecois-de-depistage-des-itss\" data-block-id=\"1c77c4c\"><h5 class=\"stk-block-heading__text\">Quebec guide for STBBI screening<\/h5><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-d0e7f22\" data-block-id=\"d0e7f22\"><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-d0e7f22\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-d-0-e-7-f-22-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-d-0-e-7-f-22-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"plus\" class=\"svg-inline--fa fa-plus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-d0e7f22\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-d-0-e-7-f-22-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-d-0-e-7-f-22-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"minus\" class=\"svg-inline--fa fa-minus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-20e4b19 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"20e4b19\"><style>.stk-20e4b19-container{padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-20e4b19-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-20e4b19-inner-blocks\">\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Screening for chronic hepatitis C is done most often involving a blood test and completed in two steps:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\" data-block-type=\"core\">\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">First, a screening is done for HCV antibodies in order to determine if a person has been exposed to HCV;<\/span><\/li>\n\n\n\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Next, an RNA HCV test is conducted in order to determine whether the person is a carrier of an active (or viremic) hepatitis C virus.<\/span><\/li>\n<\/ul>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">After exposure to HCV, a person develops antibodies within 6 to 8 weeks. The window for HCV testing is 12 weeks. It is important to note that this period may be extended in the case of HIV-HBV co-infection.<br>Following exposure to HCV, a person develops antibodies within six to eight weeks. The window period for HCV screening is 12 weeks. It is important to note that this duration can be lengthened in cases of HIV-HBV coinfection. HCV antibodies are present in all people who come into contact with the virus, but contrary to HBV antibodies, they don\u2019t protect against later infection. A person with no history of anti-HCV serology will be prescribed an HCV antibody test. This test is always done first because its cost is much less than the RNA test ($9 vs. $60).<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\" data-block-type=\"core\">\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">If the test is negative, the screening is over and the person was not exposed to HCV.<\/span><\/li>\n\n\n\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">If the antibody test is positive, the person was exposed to HCV. The next step will be to determine whether they are part of the 15-40% of people who go through spontaneous HCV clearance or whether they are a carrier of the virus.<\/span><\/li>\n<\/ul>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">After a positive HCV antibody test, one must undergo an HCV RNA testing, which will provide an indication of their viral load (the measure of virus per mL of blood). This test indicates both the qualitative RNA and the quantitative viral load. HCV RNA is present in the body after exposure to the virus.<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\" data-block-type=\"core\">\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">If the test comes back positive, the person is viremic and a carrier of chronic hepatitis C.<\/span><\/li>\n\n\n\n<li data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">If the test is negative, this suggests the person underwent a spontaneous HCV clearance. An observation period of three months, however, is recommended to confirm the results.<\/span><\/li>\n<\/ul>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">If the person has already received a positive HCV antibody test (for example, for someone whose hepatitis C infection was treated and cured), it is recommended to proceed directly to HCV RNA testing. If exposure to HCV is confirmed (after using, for example, a syringe shared with someone who is HCV positive), is it possible to conduct HCV RNA testing after four weeks.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Hepatitis C is one of the nationally notifiable diseases (NND), which means the treating physician must notify local public health authorities of each new case.<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\" data-block-type=\"core\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"800\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Depistage-Fr-1.webp\" alt=\"\" class=\"wp-image-1370\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Depistage-Fr-1.webp 1000w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Depistage-Fr-1-300x240.webp 300w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Depistage-Fr-1-768x614.webp 768w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Depistage-Fr-1-15x12.webp 15w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Genotyping is no longer necessary prior to beginning treatment thanks to pangenotypic treatments. It is possible, however, that health professionals request genotyping (if only to delay the beginning of treatment) for people who are at greater risk of contracting HCV in order to differentiate a failure of treatment from future reinfection.<\/span><a href=\"https:\/\/www.capahc.com\/wp-content\/uploads\/2024\/03\/les-autres-hepatites-virales.pdf?x70960\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk--single-open stk-block stk-bb304f2\" id=\"hepatite-e\" data-block-id=\"bb304f2\"><style>.stk-bb304f2 {border-style:solid !important;border-color:#dfdad1 !important;border-top-width:0px !important;border-right-width:0px !important;border-bottom-width:1px !important;border-left-width:0px !important;padding-bottom:24px !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-897ea05 stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"897ea05\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-897ea05-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-897ea05-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-bf11a9e\" data-block-id=\"bf11a9e\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-4248fac\" id=\"technologies-et-methodes-existantes\" data-block-id=\"4248fac\"><h5 class=\"stk-block-heading__text\">Current methods and technology<\/h5><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-fe25c97\" data-block-id=\"fe25c97\"><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-fe25c97\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-fe-25-c-97-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-fe-25-c-97-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"plus\" class=\"svg-inline--fa fa-plus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-fe25c97\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-fe-25-c-97-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-fe-25-c-97-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg aria-hidden=\"true\" data-prefix=\"fas\" data-icon=\"minus\" class=\"svg-inline--fa fa-minus fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-67767ae stk-block-accordion__content\" data-v=\"4\" data-block-id=\"67767ae\"><style>.stk-67767ae-container{padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-67767ae-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-67767ae-inner-blocks\">\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">HCV screening is frequently conducted via blood test. Other methods and technologies do, however, exist.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><strong>Rapid tests<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Rapid tests expedite the process of antibody screening using a simple capillary puncture or saliva sample. Depending on the type of test used, results can be ready in one minute (INSTI\u00ae HCV Test) or up to 20-40 minutes (OraQuick\u00ae HCV Rapid Antibody Test). For the time being, only OraQuick\u00ae is licensed in Canada and is only conducted via capillary puncture.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">The test\u2019s sensitivity is at 95.9% and its specificity is at 99%.6 According to a recent study, the wait time for results can even be reduced to five minutes without loss of quality for identifying viremic patients.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">These rapid tests are used in particular to offer screening at points of service: in community organizations, pharmacies, on the street, etc. They provide easier access: no need to make an appointment, reduced waiting time for results and therefore less stress, the possibility of offering better screening conditions in a familiar, non-medical environment, etc.<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\" data-block-type=\"core\"><img loading=\"lazy\" decoding=\"async\" width=\"141\" height=\"300\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Ponction-capillaire.webp\" alt=\"\" class=\"wp-image-1372\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Ponction-capillaire.webp 141w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Ponction-capillaire-6x12.webp 6w\" sizes=\"auto, (max-width: 141px) 100vw, 141px\" \/><figcaption class=\"wp-element-caption\">Capillary punction<\/figcaption><\/figure>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">These tests do not, however, provide a hepatitis C diagnosis. If a rapid test comes back positive, the person concerned is directed to the appropriate services in order to get HCV RNA testing.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">In Quebec, according to the Act respecting health services and social services, screening is a medical act only practicable by doctors, nurses and midwives. In other countries, such as the United Kingdom, Australia or France, these rapid tests can be administered by community workers or trained peers. Considering the context of current nursing shortages and difficulty in accessing screening (worsened by the COVID-19 pandemic), it would be highly beneficial to make this medical act practicable by other professions. Community workers working to combat HIV and other STBBIs are in an advantageous position for reaching key communities and are indispensable partners in meeting hepatitis C elimination targets. Additionally, the decentralization of health care is an essential strategy recommended by the WHO in combating viral hepatitis.<br>This is why the Provincial Committee about Hepatitis C, coordinated by CAPAHC,&nbsp;<a href=\"https:\/\/capahc.com\/en\/plaidoyer\/\" target=\"_blank\" rel=\"noreferrer noopener\">is committed to advocacy work for rapid tests.<\/a>.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">Despite rapid tests for HIV becoming available in Canada in November, 2020, this is still not the case for HCV. To move forward, the manufacturers would need to make a request to Health Canada for licensing their rapid testing technology.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><strong>REFLEX tests<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">The Reflex testing process allows for HCV RNA testing (following a positive antibody test) to be conducted using a single vial of blood, which can be part of the same blood sample used for the antibody test. Reflex testing can also be done using dried blood (see below). This technology reduces the number of steps for a diagnosis by reducing the number of required consultations and blood samples. This method is already implemented in eight provinces including Alberta, British Columbia and New Brunswick, but not Quebec.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><strong>Dried blood spot (DBS) test<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">The dried blood spot test (DBS) involves using a filter paper to collect drops of blood from a capillary puncture in order to analyze them at a later time. This allows for screening to be conducted in areas where material is less available. Filter papers can also be sent by mail for testing in laboratories capable of both HCV antibody testing and HCV RNA testing. HCV DBS antibody testing has a sensitivity rate of 98% and specificity rate of 99%.10 HCV DBS RNA testing has a sensitivity rate of 98% and specificity rate of 98%.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><strong>GeneXpert\u00ae<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">GeneXpert\u00ae can perform PCR testing in 60-100 minutes and screen for various viruses including SARS-CoV2, HPV, HIV, and HCV. Currently, Health Canada has not yet licensed the device for HCV testing, but Action Hepatitis Canada has requested the manufacturer, CepHEID, to prioritize licensing its technology for HCV testing.<\/span><\/p>\n\n\n\n<p data-block-type=\"core\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\">It is important to underline that the COVID-19 pandemic impacted access to screening. A recent study in Ontario demonstrated that HCV testing has still not returned to its pre-pandemic levels.<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\" data-block-type=\"core\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"554\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Impact-de-la-pandemie-de-COVID-19-sur-le-depistage-de-lhepatite-C-en-Ontario-Canada.webp\" alt=\"\" class=\"wp-image-1371\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Impact-de-la-pandemie-de-COVID-19-sur-le-depistage-de-lhepatite-C-en-Ontario-Canada.webp 768w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Impact-de-la-pandemie-de-COVID-19-sur-le-depistage-de-lhepatite-C-en-Ontario-Canada-300x216.webp 300w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/10\/Impact-de-la-pandemie-de-COVID-19-sur-le-depistage-de-lhepatite-C-en-Ontario-Canada-18x12.webp 18w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\"><span style=\"color: var(--theme-palette-color-4, #111518);\" class=\"stk-highlight\"><br>Impact of the COVID-19 pandemic on\nhepatitis C screening<br>in Ontario, Canada<\/span><\/figcaption><\/figure>\n<\/div><\/div><\/div>\n<\/details>\n<\/div><\/div><\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Pr\u00e9c\u00e9dent Suivant D\u00e9pistage et diagnostic Recommandations de d\u00e9pistage aux \u00c9tats-Unis Aux \u00c9tats-Unis, jusqu\u2019en 2012 les recommandations de d\u00e9pistage pour le VHC \u00e9taient bas\u00e9es sur les facteurs de risque. \u00c0 partir de 2012, une recommandation a \u00e9t\u00e9 introduite pr\u00e9conisant que tous\u00b7tes les patient\u00b7es n\u00e9\u00b7es entre 1945 et 1975 devraient \u00eatre d\u00e9pist\u00e9\u00b7es une fois dans leur vie, [&hellip;]<\/p>","protected":false},"author":1,"featured_media":3009,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[10],"tags":[],"class_list":["post-1365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guide-vhc"],"blocksy_meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.0 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>D\u00e9pistage et diagnostic du VHC - CAPAHC<\/title>\n<meta name=\"description\" content=\"Recommandations de d\u00e9pistage de l&#039;h\u00e9patite C au Canada, aux \u00c9tats-Unis et au Qu\u00e9bec. 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